Unknown Individual – Internal Medicine Physician, NPI 1467429837
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
601 E MAIN ST STE 101
MAHOMET, IL 618537460
Phone: (913) 359-6019
Type: Mailing
1210 AIRBRAKE AVE
TURTLE CREEK, PA 151451821
Phone: (330) 923-3502
Fax: (330) 928-9761
Type: Location
Saint Petersburg, Northwestern Federal District, 190000, Russia
ST PETERSBURG, FL 337138900
Phone: (727) 322-1054
Fax: (727) 821-7213
Type: Mailing
371, Skyline Drive, Vista, San Diego County, California, 92084, United States
CALIFORNIA, PA 154191278
Phone: (724) 379-6850
Fax: (678) 553-0330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61853)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| - | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Family Practice, Sports Medicine | PA | |
| Nurse Practitioner | PA |
Reviews
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